Individual provider Active NPI

Jonathan Douglas Baker, PT, DPT

  • Physical Therapist
  • Elizabethton, TN
National Provider Identifier
1114278512
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9188 Issued in TN
Practice address
1316 W G St Ste 2
Elizabethton, TN 37643-2898
Phone
(423) 297-1037
Fax
(423) 297-1038
NPI assigned
Sep 25, 2012
Last updated
Feb 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 9188
Physical Therapist 225100000X 9188 TN Primary

Addresses

Primary practice location

1316 W G St Ste 2
Elizabethton, TN 37643-2898

Mailing address

1316 W G St Ste 7
Elizabethton, TN 37643-2898
Phone (423) 297-1037

Other practice location 1

1633 Hillview Dr
Elizabethton, TN 37643-4115
Phone (423) 543-2571

Other practice location 2

119 Crestview Dr
Elizabethton, TN 37643-4867
Phone (423) 477-1101

Other practice location 3

406 Roy Martin Rd Ste 9
Gray, TN 37615-2245
Phone (423) 477-1101

Other identifiers 2

IdentifierTypeStateIssuer
4336765MedicaidTN
6008485OtherTNBLUE CROSS BLUE SHIELD TN

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL www.mwpt.org Health Information Exchange (HIE)
Other URL OtherURL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130103000432 TN Practitioner - Physical Therapist in Private Practice 9436302262 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9188TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan Baker Enterprises, LLC Physical Therapist CurrentSince Feb 1, 2023 Accepting new patients
Achieve Health and Wellness Physical Therapy PastSince Jan 1, 2020 Accepting new patients

Locations

1316 W G St
Ste 2
Elizabethton, TN 37643
Phone (423) 297-1037

1316 W G St
Ste 7
Elizabethton, TN 37643
Phone (423) 297-1037

1633 Hillview Dr
Elizabethton, TN 37643
Phone (423) 543-2571

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1348531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1114278512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 W G ST STE 7",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376432898",
            "telephone_number": "423-297-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 W G ST STE 2",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376432898",
            "telephone_number": "423-297-1037",
            "fax_number": "423-297-1038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1633 Hillview Dr",
            "address_purpose": "LOCATION",
            "city": "Elizabethton",
            "state": "TN",
            "postal_code": "376434115",
            "country_code": "US",
            "telephone_number": "423-543-2571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 Crestview Dr",
            "address_purpose": "LOCATION",
            "city": "Elizabethton",
            "state": "TN",
            "postal_code": "376434867",
            "country_code": "US",
            "telephone_number": "423-477-1101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "406 Roy Martin Rd Ste 9",
            "address_purpose": "LOCATION",
            "city": "Gray",
            "state": "TN",
            "postal_code": "376152245",
            "country_code": "US",
            "telephone_number": "423-477-1101",
            "fax_number": "423-477-1102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "JONATHAN",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-25",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": "9188",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "9188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4336765",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TN",
            "identifier": "6008485",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.mwpt.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "115B Crestview Dr",
            "city": "Elizabethton",
            "state": "TN",
            "country_code": "US",
            "postal_code": "376434867",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "OtherURL",
            "affiliation": "N",
            "address_1": "119 Crestview Dr",
            "city": "Elizabethton",
            "state": "TN",
            "country_code": "US",
            "postal_code": "376434867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elizabethton, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.